Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,311.31 / $9,332.54	Facility		$549.54	$3,311.31	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $363.08	Professional		$102.33	$154.88	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $158.49	Professional		$85.11	$154.88	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $107.15 / $199.53	Facility		$34.67	$107.15	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $269.15	Professional		$100.00	$158.49	$269.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $194.98	Professional		$120.23	$131.83	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $138.04 / $257.04	Professional		$32.36	$138.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,584.89 / $4,168.69	Facility		$263.03	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $257.04	Professional		$93.33	$141.25	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $169.82	Professional		$91.20	$138.04	$169.82